ConversationMichael MetzgerCEO & Director Good morning, everyone. So thanks for joining today. We're excited to be here at ASH. Really exciting agenda today to walk through. And I'll start by making some opening remarks, and then we'll turn it over to our 4 esteemed thought leaders and PIs on our clinical trials. We're excited to have them here today, and I'll introduce them. So these are the doctors, who have been working on our trials and helping us advance our programs for quite some time and making a d ...

Syndax Pharmaceuticals Update Summary Company Overview - **Company**: Syndax Pharmaceuticals (NasdaqGS: SNDX) - **Focus**: Development and commercialization of innovative therapies for cancer, specifically targeting chronic graft-versus-host disease (GVHD) and acute leukemia Key Products - **Niktimvo**: - Indicated for chronic GVHD in the third line and beyond - Total addressable market of approximately $2 billion in the U.S. - Achieved $96 million in net sales since launch, with annualized sales projected at $200 million within the first eight months - First and only CSF1R blocking antibody approved for chronic GVHD - 80% of patients who started treatment have remained on it - **Revuforj**: - First menin inhibitor approved for multiple acute leukemia subtypes - Total addressable market exceeding $5 billion - Generated $88 million in net revenue as of Q3, with a 25% growth in total prescriptions and new patient starts over 2020 - 50% penetration of the 2,000 incidence market for KMT2A patients expected by year-end Clinical Developments - **Clinical Trials**: - Extensive development programs for both Niktimvo and Revuforj, with ongoing trials aimed at expanding indications and improving treatment paradigms - Trials underway for Niktimvo in combination with Jakafi and steroids to address chronic GVHD in frontline settings - Revuforj positioned for long-term growth with ongoing trials in newly diagnosed patients - **Data Presentations**: - 23 presentations at ASH, including three oral presentations for Revuforj and nine poster presentations - Highlighted the breadth of data supporting both products, showcasing efficacy and safety profiles Market Position and Strategy - **Market Opportunity**: - Syndax is targeting a combined total addressable market of $10 billion with its two key products - The company aims to build multi-billion-dollar franchises with both Niktimvo and Revuforj - **Commercial Strategy**: - Engaged extensively with healthcare professionals (HCPs) through over 100 meetings and educational opportunities - Positive feedback on product profiles and commercial presence at industry events Financial Outlook - **Revenue Growth**: - Both products are expected to contribute significantly to revenue, with a path to profitability anticipated in the coming years - Stable expense guidance provided, indicating a sustainable growth engine Additional Insights - **Patient Treatment Dynamics**: - High percentage of patients transitioning to post-transplant maintenance treatment, indicating strong physician interest in long-term management strategies - Emphasis on the importance of maintaining treatment duration and dose intensity for chronic GVHD patients - **Safety and Efficacy**: - Long-term safety data supports the use of axatilimab (Niktimvo) for extended periods, with no new safety concerns identified - Ongoing studies aim to explore the potential of moving effective agents into frontline therapy to improve patient outcomes - **Future Directions**: - Continued focus on expanding indications and improving treatment protocols for chronic GVHD and acute leukemia - Anticipation of further data releases and updates on clinical trials to inform treatment strategies and market positioning This summary encapsulates the key points from the Syndax Pharmaceuticals update, highlighting the company's strategic focus, product performance, clinical developments, and market outlook.

Summary of Syndax Pharmaceuticals FY Conference Call Company Overview - **Company**: Syndax Pharmaceuticals (NasdaqGS: SNDX) - **Focus**: Oncology, specifically treatments for acute leukemia and chronic graft-versus-host disease (GVHD) Key Points Industry and Product Launches - **Product Launches**: Syndax has launched two drugs in 2025: Revuforj for acute leukemia and Niktimvo for chronic GVHD [2][3] - **Revuforj**: Recently approved for a second indication (NPM1) in addition to KMT2A, now covering approximately 50% of the patient population in acute leukemia [2][3] - **Niktimvo**: Targets chronic GVHD with a new mechanism of action (CSF1R inhibitor), providing anti-fibrotic and anti-inflammatory benefits [3][4] Market Dynamics and Adoption - **Rapid Adoption**: The launch of Revuforj has set new industry benchmarks, with a significant increase in transplant rates from 5% to approximately 30% for KMT2A patients [5][6][12] - **Patient Population**: The KMT2A indication primarily affects younger patients with high unmet medical needs, leading to strong demand for Revuforj [5][6] - **Market Penetration**: Expected to reach 50% penetration in the KMT2A patient population of about 2,000 by year-end, with potential to grow to 80%-90% [14][16] Clinical Trials and Future Prospects - **Clinical Trials**: Ongoing trials for first-line treatments combining Revuforj with standard therapies (Ven-Aza and chemotherapy) [22][25] - **Data Presentation**: 23 presentations planned at ASH, covering real-world data and combination therapies [27][28] GVHD Market Dynamics - **Competitive Landscape**: Niktimvo is competing with Sanofi's Rezurock, with Syndax tracking closely in sales performance [32] - **Market Expansion**: Potential to expand the patient population from 6,500 to 15,000-17,000 by combining with other therapies [33] Financial Outlook - **Path to Profitability**: Syndax aims for significant revenue growth from both products, with $456 million in cash available for development and operational needs [38][40] - **Analyst Sentiment**: There is variability in analyst consensus regarding revenue evolution and profitability, but the company believes its efficient model and dual product focus will drive profitability [39][40] Additional Insights - **Long-term Treatment**: Patients on Niktimvo are expected to stay on therapy for multiple years, with over 80% persistency observed since launch [35][36] - **Physician Engagement**: Strong engagement with physicians through guidelines and real-world data is enhancing adoption rates for both drugs [20][21] This summary encapsulates the key insights from the Syndax Pharmaceuticals FY Conference Call, highlighting the company's strategic positioning, product performance, and future growth potential in the oncology market.

Summary of Syndax Pharmaceuticals Conference Call Company Overview - **Company**: Syndax Pharmaceuticals (NasdaqGS:SNDX) - **Focus**: Oncology, specifically hematology with two approved products: Revuforj and Niktimvo [3][4] Key Products and Market Opportunities Revuforj - **Indications**: Approved for acute AML (KMT2A and NPM1) and ALL, targeting 40-50% of patients in relapsed refractory settings [3][4] - **Market Potential**: Estimated $2 billion opportunity in the relapsed refractory setting, with expansion into frontline therapy [4][9] - **Launch Performance**: Strong initial uptake with 70% of patients treated in second or third line; approximately one-third of patients are going to transplant [8][9] - **Patient Outcomes**: 50% overall response rate, with a duration of response of 23 months for responders [20][21] - **Future Growth**: Anticipated increase in patients returning for maintenance therapy post-transplant, potentially reaching 70-80% [24][25] Niktimvo - **Indications**: Approved for chronic GVHD in the third-line setting, with ongoing expansion into earlier lines [4][37] - **Market Potential**: Initial $2 billion opportunity, with potential growth to $5 billion as it moves into frontline settings [37][38] - **Launch Performance**: High patient persistency rates of 80-90% since launch [10][11] - **ASH Presentations**: Over 10 presentations planned, focusing on long-term therapy and real-world data [39][41] Clinical Trials and Research - **ASH Conference**: 23 abstracts submitted, with significant data expected for both Revuforj and Niktimvo [5][6] - **Ongoing Trials**: - **Revuforj**: Evolve trial comparing Venaza (Venetoclax and Azacitidine) with Revuforj in newly diagnosed patients [28][29] - **Niktimvo**: Phase 2 trial in IPF, targeting a large patient population with a new mechanism of action [44][45] Financial Outlook - **Profitability Guidance**: Expected to achieve profitability in the next few years, supported by stable expenses and robust revenue growth from both products [46] Additional Insights - **Physician Feedback**: Positive experiences reported with Revuforj, with no significant changes in prescribing behavior despite label updates [16][17] - **Patient Management**: Emphasis on the importance of monitoring and managing patient treatment duration, with expectations of increased therapy duration as maintenance becomes more common [27][28] This summary encapsulates the key points discussed during the conference call, highlighting the strategic direction and market potential for Syndax Pharmaceuticals' products.

Core Insights - Syndax Pharmaceuticals, Inc. (NASDAQ:SNDX) is recognized for its significant upside potential and is listed among the best small-cap biotech stocks to buy according to analysts [1] Financial Performance - For Q3 2025, Syndax reported a 21% increase in total revenue, reaching $45.9 million, driven by strong uptake of its lead therapies [3] - The company’s net loss narrowed to $60.7 million, or $0.70 per share, compared to a loss of $84.1 million, or $0.98 per share, in Q3 2024 [4] - Syndax ended the quarter with cash balances of $456 million, which is sufficient to support ongoing operations and pipeline development until profitability [4] Product Developments - Revuforj was included in NCCN guidelines and received FDA approval for a broader patient population, significantly contributing to the company's growth [3] - Niktimvo recorded annualized revenue of $200 million, indicating strong market performance [3] Analyst Ratings - JPMorgan reduced its price target for Syndax from $40 to $33 while maintaining an "Overweight" rating, reflecting adjustments in their models for the SMID-cap biotechnology group [2]

Summary of Syndax Pharmaceuticals Conference Call Company Overview - **Company**: Syndax Pharmaceuticals (NasdaqGS:SNDX) - **Focus**: Oncology with two approved products: Revuforj and Niktimvo - **Recent Achievements**: Three approvals in the last year, marking significant progress for a small company [2][3] Key Products Revuforj - **Indication**: Acute AML and ALL, first menin inhibitor, targeting both pediatric and adult populations - **Market Opportunity**: Estimated market size of over $5 billion [3] - **Performance**: - Strong initial uptake and prescribing habits, with physicians eager to use the drug due to high unmet medical needs [16] - 79% overall response rate when combined with standard treatments [11] - 100% event-free survival in pediatric patients at one year post-transplant [12] - **Clinical Development**: - 23 abstracts presented at ASH, including real-world evidence and combination studies [9][10] - Focus on transitioning to frontline settings and maintaining leadership in the market [38][40] Niktimvo - **Indication**: Chronic GVHD, launched in February, profitable in its first full quarter - **Market Opportunity**: - Targeting a population of 15,000-17,000 patients in the U.S. with a total addressable market (TAM) of $2 billion for relapse refractory and over $5 billion for earlier lines [46] - Tracking performance similar to Sanofi's Rezurock, with expectations to surpass it [44] - **Clinical Development**: - Ongoing trials for combination therapies with Jakafi and steroids [46] - Focus on expanding into frontline settings [49] Strategic Insights - **Market Penetration**: - Revuforj has achieved close to 100% formulary coverage and rapid patient access, averaging less than four days to start treatment [17] - Two-thirds of patients are now in second and third-line settings, with transplant rates significantly higher than clinical trials [18] - **Physician Engagement**: - High familiarity with Revuforj among physicians treating relapsed refractory AML, leading to increased prescribing [24] - Growing interest in post-transplant maintenance therapy, with physicians expressing a desire to use Revuforj in this setting [26][30] Financial Outlook - **Balance Sheet**: $456 million in cash with stable expenses, allowing for focused investment in clinical trials and potential profitability [55] - **Profitability Goals**: Aiming to achieve sustainable profitability over the next few years while continuing to build the product pipeline [55] Competitive Landscape - **Competitors**: Awareness of upcoming competitors in the NPM1 subgroup, but confidence in Revuforj's established presence and physician familiarity [24] - **Market Dynamics**: The company believes that the paradigm shift towards maintenance therapy is underappreciated by investors, despite strong physician interest [29] Conclusion - Syndax Pharmaceuticals is positioned for significant growth with its innovative oncology products, strong clinical data, and strategic market engagement. The company is focused on expanding its market presence while maintaining a path towards profitability.

Core Insights - Syndax is a commercial stage company focused on oncology with two commercial stage assets launched in the last year [1] - Revuforj is a first-in-class selective menin inhibitor indicated for KMT2A acute leukemia, which represents about 10% of the overall population of AML and ALL [1]

Financial Performance & Growth - Syndax reported net product revenue of $32 million in 3Q25[3], representing a 25% quarter-over-quarter (q/q) growth in total prescriptions (TRx)[3, 4] - Collaboration revenue reached $139 million in 3Q25, with $13.9 million attributed to Syndax[3] - Niktimvo net revenue was $45.8 million in 3Q25, reflecting a 27% q/q growth[13] and collaboration revenue to Syndax was $13.9 million, up 48% q/q[13] - As of September 30, 2025, Syndax had $456 million in cash and equivalents[39] Revuforj Highlights - Revuforj achieved approximately 2,200 cumulative total prescriptions since launch[4] - Approximately 33% of KMT2A patients proceed to hematopoietic stem cell transplantation (HSCT)[4] - Approximately 70% of KMT2A use is in the 2L/3L setting[4] - Approximately 35-40% of KMT2A patients resume Revuforj post-HSCT[4] - Revuforj is positioned to potentially capture 40-45% of the addressable AML population[9] Niktimvo Highlights - Approximately 90% of patients who started Niktimvo treatment in Q1 remained on treatment[14] - Approximately 80% of U S bone marrow transplant centers have ordered Niktimvo[14] Market Opportunity - Revuforj's second indication unlocks a $2 billion+ U S market opportunity in relapsed/refractory (R/R) acute leukemia alone[6] - The initial Niktimvo indication represents a $2 billion U S market opportunity, with potential for expansion[15]

Core Insights - Syndax Pharmaceuticals received extended FDA approval for its leukemia treatment Revuforj, allowing it to be used for a broader patient population [1] Company Overview - Syndax Pharmaceuticals is focused on innovative biotechnology solutions, particularly in the field of leukemia treatment [1] - The company aims to reshape treatment paradigms through novel mechanisms of action and first-in-class therapies [1] Market Implications - The extended approval of Revuforj may enhance the market opportunity for Syndax Pharmaceuticals by increasing the potential patient base [1] - The biotechnology sector is characterized by breakthrough science that can lead to significant returns, highlighting the importance of careful scrutiny in investment decisions [1]

Core Points - The call discusses the FDA approval of Revuforj for its second indication in treating Relapsed/Refractory NPM1 Mutated AML [1][2] - Key executives from Syndax Pharmaceuticals are present on the call, including the CEO, Head of R&D, Chief Medical Officer, Chief Commercial Officer, and Chief Financial Officer [2] Company Overview - Syndax Pharmaceuticals is actively engaging with investors regarding the recent FDA approval, indicating a focus on communication and transparency [2][3] - The company has provided a slide deck on its Investor page, suggesting a structured approach to presenting information to stakeholders [3]